| 24-hour rehabilitation nursing: the proof is in the documentation. | |
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MedLine Citation:
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PMID: 19475808 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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For a facility to be classified as an inpatient rehabilitation facility (IRF), Medicare requires that the facility provide 24-hour rehabilitation nursing. Documentation is important because it helps determine the most appropriate site for the provision of care. Functional assessments are ongoing and should provide information about patients and which interventions are most appropriate; this allows for successful achievement of rehabilitation goals. Nurses must define the elements of a quality assessment based on the individual patient and then monitor findings and respond appropriately. Reimbursement is supported by measuring functional outcomes based on the initial assessment of patients. The final reimbursement, based on possible denial of a claim, is supported by documentation of the functional outcome in the medical record. Medicare contractors cannot observe the everyday interventions nurses use with patients, so they require documentation as proof. This article features examples of documentation that nurses can use to help meet the expectation of 24-hour nursing. Following through with these suggestions will not only help provide proof of 24-hour nursing, more accurate reimbursement, and the security of a full reimbursement, but ultimately will ensure quality rehabilitation services and care for patients. |
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Authors:
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Pam Hentschke |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses Volume: 34 ISSN: 0278-4807 ISO Abbreviation: Rehabil Nurs Publication Date: 2009 May-Jun |
Date Detail:
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Created Date: 2009-05-29 Completed Date: 2009-08-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8104825 Medline TA: Rehabil Nurs Country: United States |
Other Details:
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Languages: eng Pagination: 128-32 Citation Subset: N |
Affiliation:
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Carolinas Rehabilitation, Charlotte, NC, USA. phentschke@carolinas.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Documentation* Forms and Records Control Humans Insurance, Health, Reimbursement* Medicare / economics* Night Care* Nursing Records Rehabilitation Centers / economics*, organization & administration Rehabilitation Nursing / organization & administration* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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